NPI | 1205194115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 52509) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000052509) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-27 |
Last Update Date | 2023-02-21 |